Organization
ADVANCED DERMATOLOGY OF ARIZONA, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LINDA CRANDALL (CREDENTIALING COORDINATOR)
(970) 484-6303
Entity
Organization
Contact information
Practice address
8817 E BELL RD STE 101, SCOTTSDALE, AZ 85260-1589
(602) 264-9044
Mailing address
151 SOUTHHALL LN STE 300, MAITLAND, FL 32751-7172
(407) 875-2080
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
07/30/2015
Last updated
07/30/2015
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